PM 06-20-02: BCC Eligibility Criteria

Financial Criteria

All income and assets are exempt under this program.

Nonfinancial Criteria

Medical Criteria

An applicant must be diagnosed by a medical provider and found to be in need of treatment for breast or cervical cancer, or one of the precancerous cervical conditions listed below, as supported by a pathology report. A person must continue to meet this medical criteria to remain eligible:

Cervical Intraepithelial Neoplasia, grade III (CIN III);

Severe dysplasia of the cervix;

High-Grade Squamous Intraepithelial Lesion (HGSIL); or

Atypical Glandular Cells (AGC) with a suspicion of adenocarcinoma in situ.

Additional Nonfinancial Criteria

To qualify for this program a person must also meet the following requirements:

is an Illinois resident;

is under the age of 65;

is uninsured (see insurance coverage exceptions below);

meets citizen or immigration requirements per PM 03-01-00;

comply with Social Security Number policy per PM 03-11-00; and

is not eligible for another HFS medical program.

Insurance Coverage Exceptions

A person with medical insurance may be eligible for this program under one of the following conditions:

insurance coverage is limited (for example, it covers only dental, vision, long term care or a specified disease or illness);

the lifetime benefits cap has been met or exceeded;

plan excludes coverage for breast or cervical cancer or precancerous conditions; or

the person is an American Indian or Alaska Native whose coverage is provided by a medical care program of the Indian Health Service or a tribal organization.